Sam Rahimi-Vijeh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101504 Issued in CA

Practice address

1255 Willow Pass Rd
Concord, CA 94520-5218

Phone

(925) 680-4444

Fax

(925) 680-4443

NPI assigned

Jul 11, 2017

Last updated

Dec 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sam Vijeh Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hamid Rezapour, DDS, Inc.

  dba Contra Costa Dental

  • General Practice Dentistry
  • Concord, CA
  • NPI 1063538569
  NPD (past)
• Reza Khazaie,DDS,Inc

  dba Dental Specialty Group

  • Prosthodontics
  • Concord, CA
  • NPI 1548386279

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1457873523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 TAMPICO",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982929",
            "telephone_number": "925-451-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WILLOW PASS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205218",
            "telephone_number": "925-680-4444",
            "fax_number": "925-680-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMI-VIJEH",
        "first_name": "SAM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "VIJEH",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Rafeedie
• Jack Tanner Raffaini
• Katherine Antonietta Raffetto, NP
• Padma Raghunathan
• Essence Rahab
• Nazila Rahimi
• Sahra Rahimi
• Ziba Rahimzadeh, PHD
• Zuhar Rahman
• Najib Rahman Rahmany, PHARM.D.

• General Practice Dentistry in Concord, CA
• Providers in Concord, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.